Individual
BONNIE RACHEL SANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICDC, LSW
Contact information
Practice address
789 WHITE POND DR STE C, AKRON, OH 44320-4203
(866) 606-4267
Mailing address
789 WHITE POND DR STE C, AKRON, OH 44320-4203
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LICDC.161978
OH
104100000X
Social Worker
S.1904465
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871006684
—
OH
Enumeration date
11/15/2017
Last updated
04/23/2021
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